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Home My Public Portal About4904 KAUFFMAN AVE_Electrical__ COUNTY OF LOS ANGELES APPLICATIOX FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer ELECTRIC I FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. ELECTRIC,nIA/N. off�{ �y� �p'��-�r�9.��"-�?'�..?"� ��-�4'i�p RECEIVE BY READY FOR GATE ISSUED ADDRESS 1 1 �q �y � J FIRST INSPECTION CITY ..8g sD,.�� TEL. NO ,/� COUNTY LICENSE NO./ vu✓' 6✓ EXPIRES fjg BUILDING �•yy�_„ PERMIT FEES FEE d � NUMBER EACH _ LOCALITY G• _ LIGHT OUTLETS NEAREST RECEPTACLES —CROSS ST. { WALL SWITCHES I - OWNER TOTAL OUTLETS 5c $3 MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES — �• 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE- IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER 'HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW 1.MVD. HP OVER IHC. " EACH OF THE RESIDENTIAL P OPERTV DESC ISED ABOVE. %a G LESS S 25 Q' Z. SIGNATURE OF . .sE"i�! duff:.'(/ I/2 2 .50 PERMITTEE r — - 2 s 1.00 INSPECTION RECORD 5 15 1.50 is 50 2.50 _ 5O 200 5.00 200 SOO 10.00 J 500 1000 15.00 Q _z OVER 100020.00 0 M.G. SET/FREQ. CHANGER-HP Ix WELDERS: AC-KVA 0 GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF CRTC.) _ MOVED MOTORS (75% OF ORIG.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO, _ NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME - WIRING $1,00 CONDUIT �-- FIXTURES $1.00 Q® WIRIN / y .��y'" SUPPLEMENTARY .50 FIXTURE 10 POWER _ TOTAL FEE "i , UTILITY CO. NOTIFIED FINAL NA663 DBS$ 5A 4-52 - WORKERS' COMPENSATION DECLARATION 76A663. 10/81, ll�ry�p� q�j (�p p I hereby affirm that`I have a certificate of consent to CE-806G Al�lf'IL-��,C6�i10 �ON FOR ELECTMCAL PERNT self insure,' a, V, COUNTY OF LOS ANGELES BUILDING AND SAFETY or.a certific ,e of Workers':Compensation•Insurance, or a certified = ; copy,tiereof(Sec...3800,Lab;C') 7..qc �j-�� Fund " -.Policy No.'�� n 4�[s..L�"(��panY ••C"F� � � � - FOR APPLICANT TO FILL"INi � -,�_t ' �JOB� .- • :-_❑ Certified copy is hereliyifurnished ,. New Residential Bldgs. &Pools !EACH NO. FEE 'ADDRESS 49,0''4 Kaufman Certified copy is filed with the•county-,building inspection + , 1 & 2-Family,Sq. Ft ;® 'department•;.•r ;'a' Multi'-family Sq.Ft. $ v. Tem` le Cit Ss Lowe A Residential Swimming Pools 9 T2TTTS.TIT: :. -.:5 ,.. R � r: e. Z NEAREST plicant' � �I��P �R FE'TNER Sa OWNER - . CERTIFICATE'OF.EXEMPTION'FROM WORKERS',; . �� - .,. ...w,^- OWNER r r -•COMPENSATION INSURANCE ` : Outlets:.Rec-'Light.�.Sw. _ •ADDR First 20° � �' (This,section need not be completed.if:the work,involved by the. `. CITY Tel.No. permit is,for one,hundred..d6liars(s100),or'iess.) Total,No.S� Additional;. 3� Tem 'le Cl'ty- I certifyt,hat in the,„performance of the work fcr.which this,permit PLAN CHECK. is issued,.'I ishail not•employ any person in'any.manner so as to APPLICANT PYRAMID” BU•ILDERS becomes 5bfect,to',the-Workers'Compensation,Laws. Lighting_Fixtures. First 20 ADDRESS] 63,3,Z' E. ' San" Bernardino—. Additional i• Total No: / CITY Tel.'No: Date Applicant r C -NOTICE` TO APPLICANT: If, after, making this;'Certificate,..of, Fixed Appli$nces'Not Over 1 HP PERMIT. 'PO . viva , -' n` 67 1342 . • APPLICANT YRAMID. BUILDERS- 'Exemptlon,you should become"subject to the Workers Compensation' Range_ Heater— D.W. _ provisions of the,Labor,Co*(e, you must forthwith compyl' ith such Oven Dryer W.M. ' ADDRES$1(3 3 2,,',E' San: "Bernardln0 ,provisions or this•permit shall be'deemed-revoked: Top= FAU; W:H:,_ Tel.No: „LICENSED CONTRACTORS DECLARATION Hood.—.Fan Other_ - C COVIn`a' 9 6 7, 1.3 4 2 I ' I:hereby;affjrm that,ljam.licensed under,provisions,of,Chapter.9 ` Disp. .— Room Air Cohd. Class.. .. ITYy. LICENSE"O.R (commencing witli`$ection 7000) of Division:3`of the Business and REG.NUMeEF4.0 0 2 8 9, . ,-..Professions Code„and my'license isJn full force' 'and',effect: r'•- - ' DISTRICT NO. - PR ED Power Apparatus;& Large Appliances. Size& Type HP,KW,KVA,or KVAR. 0 License Number 4 n n R A Lic Class R FINAL 11 f Q� V .-Over 11 to 1'0 Incl..” ,I DVALID ATION ATE Contractor PYRANPTD= RI7TT)D $S `�7'�1f�/'f�9 Over 10 to,50 Incl. l am exempt under Sec. Over 50.to:100nInc BY AL `/, k.; .._ W B:&P.C.'for•this reason Over 100 NI' Services,Swbd.,MCC& Panelboards :. • ' Date' • , 0•- 200 Amp.Under 600 V. Signature - 201 '1000 Amp:'Under 600:V f . FT Exemption,for Reg,Maint.Elect. Over 1000 Amp or Over 600 V , 'SINGLE FAMILY '; Temp Power,Pole &'Appurtenances ' HOME-OWNER,BUILDER`DECLARATION, ' r ` Sign with One Branch Circuit wt��+y n' I hereby affirm.that.l'.•am exempt fromahe Contractor's.License Law . 11i>r•i for g eason(Section 703:1;5 Business and'Professions'. Adddional Sign Branch Circuits, nv. t Code):'he following r °-. o r' . Misc. Conduits&Conductors �t �7a7v7 �.. ❑'. I,as'owner'of the property,will do the work and the structure f is not intended or offered for sale'(Section,7044, Business Other(See'Gomplete Fee Schedule) {/fie 85- `�`J+ • 1ITE1�S and Professions Code),, T� CONSTRUCTION LENDING AGENCY •HECK �u7C I hereby-affirm that'there is a construction lending agency for'the, ' ' c00 performance of the work for which this permit is issued(Sec.3097, PERMIT FEE - (Sub-Total) .Civ. C.), PLAN.CHECKING FEE - Lender's-Nam Name /28/89 _ /E9 p�}�p�ppyy��►��ryry qq DD U131iU`6FiiUi '.Gee PERMIT ISSUING FEE �33f All ba� 'Lender's,Address 1C! 'I certify that I have read this application and 'state that the above TOTAL FEE ` , information'is correct. I agree to comply with all.County ordinances ., and State laws,regulating Electrical wiring, and•hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE,FOR,EXPLANATORY LANGUAGE —Signature of Permittee Date WORKERS'COMPENSATION DECLARATION 76-663 10i81 p PPA Baja,gMON FOR E E(CTMIC b1 p rf�l�Rl�T I hereby affirm that I have a certificate of consent-to self insure, cE-aosG, d�il L� 4o/rtl Il`�J Ir�Slf9 Lsl�lrav� u u L-11L� I�I� u�u or a cergficate of Workers' Compensation insurance, or a certified "- COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800,Lab. C') Policy No. I Q 4 7.9 6 -($8pany, State Fn n d FOR APPLICANT TO FILL IN`; � "' JOB ❑ Certified copy is hereby,furnished. New Residential Bldgs..&Pools: ADDRESS' EACH NO. FEE 4 9 0 4 a _ 1 & 2-Family,Sq.Ft.' $ — $ LOCALITY '.Tem le Cit Certified copy is'filed with the county building inspection 'department. j` Multi-family Sq.Ft. — NEAREST, ' ,CROSS ST.,':Lower Azusa' PYRAMID: BUILDERS Residential Swimming Pools .OWNER OR, Date 4„L4 9 0 Apphgant _ - FIRM NAME 'CERTIFICATE OF EXEMPTION FROM WORKERS' I ':-• MAIL . :'COMPENSATION INSURANCE Outlets:Rec Light — Sw.- ADDRESS`4904 Kauf fmari First 20, (This section need not be completed if,the work involved.by,the j -CITY Tel.No. permit is,for one;hundred dollars($100)or less) Total No.' - Additional, Tern le Cit 285 7228 ,,I,;cdrtif that in the erformance of'..the work for which this permit PLAN CHECK v` p P .. , .' APPLICANT PYRAMID. BUILDERS �. r is issued, I shall.notemploy•any person-in any manner so,as to i become subject to the-Workers'Compensation Laws fighting Fixtures First 20• ttl ADDRESS16332 E... San •Bernardino Additional , i Total No. ' CITY Covina Tel.No:9 6 7 1342 ” Date Applicant_ Fixed Appliances Not Over 1 NP PERMIT NOTICE, TO APPLICANT: if,,after,_making'this :Certificate of APPUCANTPYRAMID. BUILDERS Exemption;you should become subject to the•Workers'Compensation; Range_,Heater_ DW.. _ _ „., provisions of the;Labor,.Code, you•must forthwith comply with such Oven _ Dryer _ W.M._ ADDRESS1,6 3 3 2 . E. San. Bernardino provisions or this permit shall be deemed revoked. Top- FAU:-•='W.H. - Tel No'9 6 LICENSED CONTRACTORS DECLARATION Hood Fan Other_ /C1' CITY COVlna 7 1342 / �/ LICENSE OR I hereby affirm that.l am,licensed under. provisions of Chapter 9 Dis Room Air Cond. ` *Class: (commencing,with Section 7000)of Division 3 of the,Business and P• REG.NUMBER 4 O O 2 8 9 B Professions Code,and my"license is in full force and effect. Power Apparatus&,Large Appliances DISTRICT 0. PRO ED BY Size& Type HP, KW,KVA,or KVAR s fv Q License.Number 4 0 0 2 8 9Y Lic. Class B Up to'1 Incl., FINAL-4 Over 1 to,1 ,lncl DATE VALIDATION Contractor PYRAMID 'BUILDS 4Z4-L,20_ Over 10to;50lncL FINAL O ❑ ,;I am exempt under Sec._ ;'Over 50 to':1.00 Inc. . gy U W Over 100 Q. B.&P.C.for.this reason . Services, Swbd.,'MCC & Panelboards Date:.. 0-.200 Amp.Under 600 V Z Signature 20.1-:1000 Amp. Under.:600 V Over 1000 Amp.or Over 600 V Exeml3tion•for Reg:Maint Elect.,. T SINGLE,FAMILY Temp.Power Pole& Appurtenances . HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ' I hereby affirm that I am exempt from the Contractor's.License,Law. ACCT T .s `• 0 8. for'the'following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits_- Code) 33307 24.30 ❑ Misc Conduits& Conductors 1, 1,as owner of the property,will do the work and,the structure- is not intended or offered for sale 3(Section 7044, Business Other(See Complete Fee Schedule) and Professions Code)." D' TlI �. 2 4 " CONSTRUCTION LENDING AGENCY CHECK - 24.310 I hereby affirm that'there,is,a construction lending agency for the CHANGE ,I13 performance of the.work for which this permit is issued(Sec.3097, PERMIT FEE `(Sub'Total) Civ:C.), PLAN CHECKING FEE Lender's Name VtaVtd- i t 1 5/91, PERMIT ISSUING FEE ( �j� .1^.:- AM 7 43 Lender's Address jl I.certify that I have read this application and state that the above/ TOTAL FEE . (f _ 'information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter"upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 414 Signature of,Permittee Date WORKERS' COMPENSATION DECLARATION 76-663 10/81 �I r�jp B�/n�`?�®gyp I�®tl'� �L��l��bUil� l��ll�/II�'� I hefE by affiirm that I'have a cerfificafe.of,consent,to self insure, CE-aG6G I�Ir L� LW II IIt'I or a certificate of Workers' Compensation Insurance, or a certified COUNTY.OF LOS ANGELES BUILDING AND SAFETY . copy,thereof(Sec.3800,Lab.C.) Policy No. J Q 4,7 9 6 3+,$, ,any S"(=a FOR APPLICANT TO,FILL IN JOB • E Certified copy is hereby furnished. New Residential Bldgs.& Pools EACH NO. FEE AODREss 4904 Kaufman ® Certified 'copy is filed with the county building inspection 1 & 2-Family,Sq.Ft. $ — $ LOCALITY Temple. CitV. department.i Multi-family Sq. Ft. NEAREST CROSS ST. -Lower.Azusa Date n'/9 n Applicant PYRANfTn RTTTT T�RRS Residential Swimming Pools OWNER OR FIRM NAME '.'FETNER CERTIFICATE COMPENSATION INSURANCE ao OF EXEMPTION FROM WORKERS Light Sw. MAIL . Outlets:Rec , . Q ADDRESS 4904 .Kaufman - - o l d �. � ,. (This section need not be completed,if the work.involved by the First 20 perimit,is for one hundred dollars($`100) or less.) Total No. ' Additiohal CITY Temple "C 1•t Tel.Not 8 5 7228* certif ,•that in the.performance:of.the work for which.this permit PLAN CHECK •. , p APPLICANT P:Y•RAMID. BUILDERS becomeo, I shall to the Workers', any.person in any`manner,so as to certify ,,that issued, I shall not em I kers',Compensation Laws Lighting Fixtures First 20' 5- 0 ADDRESSi63.32 'San. Bernardl'n0• RCI Additional, Total No. CITY Tel.N Date -Applicant Covina- ,lna, 6 7. 1342 NOTICE TO APPLICANT: If, after making :this Certificate of Fixed Appliances Not Over i HP PERMIT Exemption,you should become subject to the Workers'Compensation .Range Heater_ D.W. 0 APPLICANT: PYRAM'ID: BUILDERS provisions of the Labor Code, you must forthwith,comply with such Oven Dryer _ W.M._ ADDRESS1633.2 E. San.' Berriardlri0 provisions or this permit shall be deemed revoked. Top'. - • FAU W.H. CITY. COV1na Tel:No. LICENSED CONTRACTORS DECLARATION I 9 6 7 13 4' � Hood Fan Other_ 1 hereby affirm that I am licensed under•provisio is of;Chapter 9 �,(�0 LICENSE OR Disp: Room Air Cond. REG.NUMBER 4 0 0 2 8 9 Class'B (commencing with Section.7000) of Division 3 of the Business and Professions Code,,aridrm ]icense is'in full"foiC(";and effect. DISTRICT No. PROCESSED BY y Power Apparatus& Large Appliances , Size&Type HP,.KW;KVA,or;.KVAR. . , 0 License;Number 400289 Lic. Class R Up to 1 Incl FINAL 0. •Over 1 to 10 Incl. DATE VALIDATION ContractorPYRAMTD` BUILDBRG '3 / � O Over'.10`to 50 Incl. 1:1I am exempt under Sec. Over 50 to 100 Inc. Y V FINAL . B W BAP.C.for this reason Over 100 Date: iSe v 0 600 V , �.. r ices,Swbd. MCC&-Panelboards ' --200 Amp.Under Signature '201 -'1000 Amp:Under 600 V Over 1000 Amp.or Over 600 V• �• ' Exemption for Reg.Maint.Elect.' a.. SINGLE'FAMILY" " Temp.Power Pole'& Appurtenances HOME OWNER-BUILDER DECLARATION Sigh with One Branch Circuit " I hereby affirm that f am exempt from the Contractor's License Law : a. for the following reason(Section 7031'.5, Business and Professions Additional Sign Branch Circuits ACCTA Code): JV7y°so I,as owner of the ro ert will do the work and the structure Misc.Conduits &Conductors T e�.t '.. p p Yr. . 1 -ITEM is not intended or offered for sale (Section 7044, Business'' Other(See Complete Fee'Schedule)'_ and Professions Code): D. - TOTAL n80 , CONSTRUCTION LENDING AGENCY . 6ECK 5v°ull I hereby affirm that there is a construction lending agency for the performance of the work for which this permit.is issued(Sec.3097, PERMIT FEE (Sub-Total) °00 ) CNAWGE Civ.c V. .,PLAN CHECKING.FEE Lender's Name 0000-0001 3/30/90 PERMIT•ISSUING FEE 13 aO eta wM r� Lender's Address "7Cr 0 1 M10°C6 . I certify that I have read this application and state that the above TOTAL FEE: - S�• 8 information is correct. I agree to comply with all County ordinances t and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ignature of Permittee Date